TERRA Project Proposal Form

To submit an idea for consideration by the TERRA Board during FY11, please complete the following form and return it no later than May 21, 2010.

Fields with asterisks (*) are required. You may leave other fields blank until you have more complete information.

For more information or assistance with submissions, please contact Stephanie Malinoff at 612-624-8398 or malinoff@umn.edu.

*First name:

*Last name:

*E-mail:

Mailing Address:
Street 1:

Street 2:

City:

State: Zip:

Country:

*Research Project or Research Problem Statement Title:

* Research Project/Problem Statement Description:

Project Partners (if applicable):

Anticipated Project Timeframe:

Funding

Total Project Funds Needed:

Secured Funding (please list amount and source):

In-Kind Contributions (please list amount and source):

How does the project fit with the TERRA mission?

Are there plans to implement the project? If so, please describe.